BENJAMIN ROY, M.D.
Surgery Physician · BEMIDJI, MN
Individual Active NPI 1023076064
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 244 | 377 | $329,447 | $62,294 | $51,636 |
| 2023 | 286 | 441 | $385,641 | $74,499 | $59,703 |
| 2022 | 283 | 479 | $389,326 | $78,380 | $63,675 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 48 | $167 | $167 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 34 | $184 | $155 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 24 | $47 | $37 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 22 | $170 | $170 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 21 | $63 | $48 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 19 | $123 | $98 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 16 | $77 | $54 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $96 | $69 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 15 | $103 | $76 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 14 | $92 | $74 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 13 | $235 | $186 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 12 | $126 | $91 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 43562 | MN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.